SEAN M NIEDERST CNP
NPI 1659724235
Nurse Practitioner - Acute Care in Columbus, OH

Q: What is Sean Niederst's NPI number?

The NPI number for Sean Niederst is 1659724235. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Sean Niederst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Sean Niederst was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2016PECOS Enrolled

84.5/100

CMS Quality Rating

111 S GRANT AVE, SUITE 350, COLUMBUS, OH 43215(614) 566-9160(614) 566-8392 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2022, Jan 7, 2021, Jun 18, 2019 (3 updates tracked since 2019).

On this page

About Sean M Niederst Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN M NIEDERST CNP (NPI 1659724235) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.019348) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659724235

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameSEAN M NIEDERSTCredential: CNP

Location Address111 S GRANT AVE, SUITE 350Columbus, OH 43215-4701

Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141

Phone(614) 566-9160

Fax(614) 566-8392

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 19, 2016

Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2021

✔ NPI 1659724235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.019348

111 S GRANT AVE, Columbus, OH 43215

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sean M Niederst Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012203714

PECOS Enrollment IDI20160906002702

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

45 services39 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

13 services13 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360118

Location335 Glessner AvenueMansfield, OH 44903 · Richland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRISCA MAYNARD M.D.

Internal Medicine

111 S GRANT AVE
COLUMBUS, OH 43215

Franklin County (614) 566-8883

AMANDA NICOLE NEWBURGER

Nurse Practitioner (Neonatal)

111 S GRANT AVE
COLUMBUS, OH 43215

Franklin County (614) 566-9221

LINDA M BERTOLINI CRNA

Anesthesiology

111 S GRANT AVE, 3RD FLOOR
COLUMBUS, OH 43215

Franklin County (614) 566-8808

KARIE L MCLAUGHLIN CNP

Nurse Practitioner

111 S GRANT AVE
COLUMBUS, OH 43215

Franklin County (614) 566-8883

DR. SYEDA MARIAM SHAHID MD, MPH

Student in an Organized Health Care Education/Training Program

111 S GRANT AVE
COLUMBUS, OH 43215

Franklin County (614) 566-9041

PARIS DAE KNIPP PA-C

Physician Assistant

111 S GRANT AVE
COLUMBUS, OH 43215

Franklin County (740) 417-5607

DR. MARK BECKER M.D.

Radiology (Radiation Oncology)

111 S GRANT AVE
COLUMBUS, OH 43215

Franklin County (614) 566-9506

ANUPAMA SUNDARAM M.D.

Pediatrics (Neonatal-Perinatal Medicine)

111 S GRANT AVE
COLUMBUS, OH 43215

Franklin County (614) 566-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Niederst's NPI number?

The NPI number for Sean Niederst is 1659724235. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Sean Niederst located?

Sean Niederst practices at 111 S Grant Ave Suite 350, Columbus, OH 43215. The listed phone number is (614) 566-9160.

What is Sean Niederst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sean Niederst enrolled in Medicare?

Yes. Sean Niederst is registered in the Medicare PECOS enrollment system.

What insurance does Sean Niederst accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Sean Niederst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sean Niederst affiliated with any hospitals?

According to CMS data, Sean Niederst is affiliated with Riverside Methodist Hospital and Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Sean Niederst was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.